RT Journal Article SR Electronic T1 Genetically engineered pigs manifesting pancreatic agenesis with severe diabetes JF BMJ Open Diabetes Research & Care JO BMJ Open Diab Res Care FD American Diabetes Association SP e001792 DO 10.1136/bmjdrc-2020-001792 VO 8 IS 2 A1 Masaki Nagaya A1 Koki Hasegawa A1 Masahito Watanabe A1 Kazuaki Nakano A1 Kazutoshi Okamoto A1 Takeshi Yamada A1 Ayuko Uchikura A1 Kenji Osafune A1 Harumasa Yokota A1 Taiji Nagaoka A1 Hitomi Matsunari A1 Kazuhiro Umeyama A1 Eiji Kobayashi A1 Hiromitsu Nakauchi A1 Hiroshi Nagashima YR 2020 UL http://drc.bmj.com/content/8/2/e001792.abstract AB Introduction Pancreatic duodenum homeobox 1 (Pdx1) expression is crucial for pancreatic organogenesis and is a key regulator of insulin gene expression. Hairy and enhancer of split 1 (Hes1) controls tissue morphogenesis by maintaining undifferentiated cells. Hes1 encodes a basic helix loop helix (bHLH) transcriptional repressor and functionally antagonizes positive bHLH genes, such as the endocrine determination gene neurogenin-3. Here, we generated a new pig model for diabetes by genetic engineering Pdx1 and Hes1 genes.Research design and methods A transgenic (Tg) chimera pig with germ cells carrying a construct expressing Hes1 under the control of the Pdx1 promoter was used to mate with wild-type gilts to obtain Tg piglets.Results The Tg pigs showed perinatal death; however, this phenotype could be rescued by insulin treatment. The duodenal and splenic lobes of the Tg pigs were slender and did not fully develop, whereas the connective lobe was absent. β cells were not detected, even in the adult pancreas, although other endocrine cells were detected, and exocrine cells functioned normally. The pigs showed no irregularities in any organs, except diabetes-associated pathological alterations, such as retinopathy and renal damage.Conclusion Pdx1-Hes1 Tg pigs were an attractive model for the analysis of pancreatic development and testing of novel treatment strategies for diabetes.